Blood Cells Molecules and Diseases最新文献

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Commentary on “unmasking the morphological alteration of erythrocytes among women suffering from PCOS” 关于 "揭示多囊卵巢综合症女性患者红细胞形态改变 "的评论。
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-02-28 DOI: 10.1016/j.bcmd.2024.102840
Shuwei Fan , Guomei Shi , Kelan Li
{"title":"Commentary on “unmasking the morphological alteration of erythrocytes among women suffering from PCOS”","authors":"Shuwei Fan , Guomei Shi , Kelan Li","doi":"10.1016/j.bcmd.2024.102840","DOIUrl":"10.1016/j.bcmd.2024.102840","url":null,"abstract":"","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"106 ","pages":"Article 102840"},"PeriodicalIF":2.3,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140012134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diamond-Blackfan anemia, the archetype of ribosomopathy: How distinct is it from the other constitutional ribosomopathies? 核糖体病的原型--钻石-巴拉克凡贫血症:它与其他体质性核糖体病的区别有多大?
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-02-17 DOI: 10.1016/j.bcmd.2024.102838
L. Da Costa , Narla Mohandas , Ludivine David-NGuyen , Jessica Platon , Isabelle Marie , Marie Françoise O'Donohue , Thierry Leblanc , Pierre-Emmanuel Gleizes
{"title":"Diamond-Blackfan anemia, the archetype of ribosomopathy: How distinct is it from the other constitutional ribosomopathies?","authors":"L. Da Costa ,&nbsp;Narla Mohandas ,&nbsp;Ludivine David-NGuyen ,&nbsp;Jessica Platon ,&nbsp;Isabelle Marie ,&nbsp;Marie Françoise O'Donohue ,&nbsp;Thierry Leblanc ,&nbsp;Pierre-Emmanuel Gleizes","doi":"10.1016/j.bcmd.2024.102838","DOIUrl":"10.1016/j.bcmd.2024.102838","url":null,"abstract":"<div><p>Diamond-Blackfan anemia (DBA) was the first ribosomopathy described in humans. DBA is a congenital hypoplastic anemia, characterized by macrocytic aregenerative anemia, manifesting by differentiation blockage between the BFU-e/CFU-e developmental erythroid progenitor stages. In 50 % of the DBA cases, various malformations are noted. Strikingly, for a hematological disease with a relative erythroid tropism, DBA is due to ribosomal haploinsufficiency in 24 different ribosomal protein (RP) genes. A few other genes have been described in DBA-like disorders, but they do not fit into the classical DBA phenotype (Sankaran et al., 2012; van Dooijeweert et al., 2022; Toki et al., 2018; Kim et al., 2017 [<span>[1]</span>, <span>[2]</span>, <span>[3]</span>, <span>[4]</span>]).</p><p>Haploinsufficiency in a RP gene leads to defective ribosomal RNA (rRNA) maturation, which is a hallmark of DBA. However, the mechanistic understandings of the erythroid tropism defect in DBA are still to be fully defined. Erythroid defect in DBA has been recently been linked in a non-exclusive manner to a number of mechanisms that include: 1) a defect in translation, in particular for the <em>GATA1</em> erythroid gene; 2) a deficit of HSP70, the GATA1 chaperone, and 3) free heme toxicity. In addition, p53 activation in response to ribosomal stress is involved in DBA pathophysiology. The DBA phenotype may thus result from the combined contributions of various actors, which may explain the heterogenous phenotypes observed in DBA patients, even within the same family.</p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"106 ","pages":"Article 102838"},"PeriodicalIF":2.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139921039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rare bleeding disorders: Real-world data from a Spanish tertiary hospital 罕见出血性疾病:来自西班牙一家三级医院的真实数据
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-02-15 DOI: 10.1016/j.bcmd.2024.102837
Daniel Martínez-Carballeira , Alberto Caro , Ángel Bernardo , José Ramón Corte , José Carlos Iglesias , Isabel Asunción Hernández de Castro , Laura Gutiérrez , Inmaculada Soto
{"title":"Rare bleeding disorders: Real-world data from a Spanish tertiary hospital","authors":"Daniel Martínez-Carballeira ,&nbsp;Alberto Caro ,&nbsp;Ángel Bernardo ,&nbsp;José Ramón Corte ,&nbsp;José Carlos Iglesias ,&nbsp;Isabel Asunción Hernández de Castro ,&nbsp;Laura Gutiérrez ,&nbsp;Inmaculada Soto","doi":"10.1016/j.bcmd.2024.102837","DOIUrl":"10.1016/j.bcmd.2024.102837","url":null,"abstract":"<div><h3>Introduction</h3><p>Due to their low prevalence, rare bleeding disorders (RBDs) remain poorly characterized.</p></div><div><h3>Aim</h3><p>To gain insight of RBDs through our clinical practice.</p></div><div><h3>Methods</h3><p>Retrospective study of the medical records of RBD patients followed up at the Central University Hospital of Asturias between January 2019 and December 2022.</p></div><div><h3>Results</h3><p>A total of 149 patients were included. Factor (F) VII (44 %) and FXI (40 %) deficiencies were the most common diagnosed coagulopathies. Most of the patients were asymptomatic (60.4 %) and the most frequent type of bleeding were mucocutaneous and after surgery. All replacement treatments were administered on demand and no patient was on a prophylaxis regimen. Currently available products were safe; allergic reactions after administration of plasma were the most frequent complication. Genetic analysis, carried out on 55 patients (37 %), showed that the most frequent mutations in RBDs are of missense type (71.9 %). We identified 11 different novel genetic alterations in affected genes. The c.802C &gt; T (p.Arg268Cys) variant, previously described, was identified in 71 % (15 of 21) of the patients with FXI deficiency genotyped and none were related (probable founder effect).</p></div><div><h3>Conclusion</h3><p>Our study on an unusual large single center cohort of RBD patients portrays location-dependent distinct genetic drives and clinical practice particularities.</p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"106 ","pages":"Article 102837"},"PeriodicalIF":2.3,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139826106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative study of two routinely used protocols for ex vivo erythroid differentiation 对两种常规使用的体外红细胞分化方案进行比较研究。
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-23 DOI: 10.1016/j.bcmd.2024.102829
Auria Godard , Robert Seute , Alexandra Grimaldi , Thomas Granier , Jacques Chiaroni , Wassim El Nemer , Maria De Grandis
{"title":"A comparative study of two routinely used protocols for ex vivo erythroid differentiation","authors":"Auria Godard ,&nbsp;Robert Seute ,&nbsp;Alexandra Grimaldi ,&nbsp;Thomas Granier ,&nbsp;Jacques Chiaroni ,&nbsp;Wassim El Nemer ,&nbsp;Maria De Grandis","doi":"10.1016/j.bcmd.2024.102829","DOIUrl":"10.1016/j.bcmd.2024.102829","url":null,"abstract":"<div><h3>Background</h3><p>Erythropoiesis is a complex developmental process in which a hematopoietic stem cell undergoes serial divisions and differentiates through well-defined stages to give rise to red blood cells. Over the last decades, several protocols have been developed to perform <em>ex vivo</em> erythroid differentiation, allowing investigation into erythropoiesis and red cell production in health and disease.</p></div><div><h3>Results</h3><p>In the current study, we compared the two commonly used protocols by assessing the differentiation kinetics, synchronisation, and cellular yield, using molecular and cellular approaches. Peripheral blood CD34<sup>+</sup> cells were cultured in a two-phase (2P) or a four-phase (4P) liquid culture (LC) and monitored for 20 days. Both protocols could recapitulate all stages of erythropoiesis and generate reticulocytes, although to different extents. Higher proliferation and viability rates were achieved in the 4P-LC, with a higher degree of terminal differentiation and enucleation, associated with higher levels of the erythroid-specific transcription factors GATA-1, KLF-1, and TAL-1. Although the 2P-LC protocol was less efficient regarding terminal erythroid differentiation and maturation, it showed a higher yield of erythroid progenitors in the erythropoietin (EPO)-free expansion phase.</p></div><div><h3>Conclusions</h3><p>We provide data supporting the use of one protocol or the other to study the biological processes occurring in the early or late stages of erythroid differentiation, depending on the physiological process or pathological defect under investigation in a given study.</p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"106 ","pages":"Article 102829"},"PeriodicalIF":2.3,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S107997962400007X/pdfft?md5=718346331294e764ec71ad08f76c0fc4&pid=1-s2.0-S107997962400007X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139566579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling mortality risk factors in paediatric sickle cell disease patients during acute crises in the Democratic Republic of the Congo 揭示刚果民主共和国急性危机期间小儿镰状细胞病患者的死亡风险因素
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-20 DOI: 10.1016/j.bcmd.2024.102828
Paul Muteb Boma , Stéphanie Luntadila Ngimbi , Junior Makiese Kindundu , Jean Israël Wela , Nathalie Lukanke Ngoie , Valentin Mukeba Ngwamah , Sandra Mbuyi Tshiswaka , Joséphine Kalenga Monga , Jules Mulefu Panda , Bruno Bonnechère
{"title":"Unveiling mortality risk factors in paediatric sickle cell disease patients during acute crises in the Democratic Republic of the Congo","authors":"Paul Muteb Boma ,&nbsp;Stéphanie Luntadila Ngimbi ,&nbsp;Junior Makiese Kindundu ,&nbsp;Jean Israël Wela ,&nbsp;Nathalie Lukanke Ngoie ,&nbsp;Valentin Mukeba Ngwamah ,&nbsp;Sandra Mbuyi Tshiswaka ,&nbsp;Joséphine Kalenga Monga ,&nbsp;Jules Mulefu Panda ,&nbsp;Bruno Bonnechère","doi":"10.1016/j.bcmd.2024.102828","DOIUrl":"10.1016/j.bcmd.2024.102828","url":null,"abstract":"<div><p><span><span>Sickle cell disease (SCD) is a significant health burden in the Democratic Republic of the Congo (DRC). This study aims to identify </span>predictive factors of mortality in SCD children admitted to emergency care in Lubumbashi, DRC. We performed a non-interventional cohort follow-up on SCD patients aged 0 to 16 admitted for a “true emergency”. Demographic, clinical, and biological data were collected. Univariate and multivariate </span>logistic regression<span> analyses were performed to identify significant risk factors associated with mortality. Among the 121 patients included, 24 died during the follow-up period. Univariate regression revealed age, Mikobi score, referral origin, stroke, and severe infection as significant risk factors. Multivariate analyses<span><span><span> identified Hb, WBC, SR, and </span>LDH as predictive factors of mortality. Notably, patients aged 12 to 16 years faced a higher risk, shifting the age of mortality from early to late childhood and adolescence. This study provides valuable insights into mortality risk factors for </span>paediatric SCD patients during acute crises. Early diagnosis, regular follow-up, and therapeutic education are essential to improve patient outcomes and survival rates. These findings contribute to better disease management and targeted interventions, aiming to reduce mortality associated with SCD.</span></span></p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"105 ","pages":"Article 102828"},"PeriodicalIF":2.3,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139508528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of voxelotor on murine bone marrow and peripheral blood with hematopoietic progenitor cell mobilization for gene therapy of sickle cell disease voxelotor 对用于镰状细胞病基因治疗的小鼠骨髓和外周血造血祖细胞动员的影响
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-19 DOI: 10.1016/j.bcmd.2024.102824
Avital Mendelson , Yunfeng Liu , Weili Bao , Patricia A. Shi
{"title":"Effect of voxelotor on murine bone marrow and peripheral blood with hematopoietic progenitor cell mobilization for gene therapy of sickle cell disease","authors":"Avital Mendelson ,&nbsp;Yunfeng Liu ,&nbsp;Weili Bao ,&nbsp;Patricia A. Shi","doi":"10.1016/j.bcmd.2024.102824","DOIUrl":"10.1016/j.bcmd.2024.102824","url":null,"abstract":"<div><p>In preparation for hematopoietic stem cell mobilization and collection, current ex vivo gene therapy protocols for sickle cell disease require patients to undergo several months of chronic red cell transfusion. For health care equity, alternatives to red cell transfusion should be available. We examined whether treatment with GBT1118, the murine analog of voxelotor, could be a safe and feasible alternative to red cell transfusion. We found that 3 weeks of treatment with GBT1118 increased the percentage of bone marrow hematopoietic stem cells and upon plerixafor mobilization, the percentage of peripheral blood hematopoietic stem cells. Our data suggest that voxelotor should be further explored for its potential safety and utility as preparation for hematopoietic stem cell mobilization and collection.</p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"105 ","pages":"Article 102824"},"PeriodicalIF":2.3,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1079979624000020/pdfft?md5=b353839cb736711f91015e06fb67f8ca&pid=1-s2.0-S1079979624000020-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139508532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of the cytotoxicity, genotoxicity and antioxidant prospects of JM-20 on human blood cells: A multi-target compound with potential therapeutic applications 研究 JM-20 对人类血细胞的细胞毒性、基因毒性和抗氧化前景:一种具有潜在治疗用途的多靶点化合物
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-19 DOI: 10.1016/j.bcmd.2024.102827
Fernanda D'Avila da Silva , Maria Eduarda de Andrade Galiciolli , Ana Carolina Irioda , Cláudia Sirlene Oliveira , Bruna Candia Piccoli , Alessandro de Souza Prestes , Bruna Cogo Borin , Andre Passaglia Schuch , Estael Ochoa-Rodríguez , Yanier Nuñez-Figueredo , João Batista Teixeira da Rocha
{"title":"Investigation of the cytotoxicity, genotoxicity and antioxidant prospects of JM-20 on human blood cells: A multi-target compound with potential therapeutic applications","authors":"Fernanda D'Avila da Silva ,&nbsp;Maria Eduarda de Andrade Galiciolli ,&nbsp;Ana Carolina Irioda ,&nbsp;Cláudia Sirlene Oliveira ,&nbsp;Bruna Candia Piccoli ,&nbsp;Alessandro de Souza Prestes ,&nbsp;Bruna Cogo Borin ,&nbsp;Andre Passaglia Schuch ,&nbsp;Estael Ochoa-Rodríguez ,&nbsp;Yanier Nuñez-Figueredo ,&nbsp;João Batista Teixeira da Rocha","doi":"10.1016/j.bcmd.2024.102827","DOIUrl":"10.1016/j.bcmd.2024.102827","url":null,"abstract":"<div><p><span><span>JM-20 is a 1,5-benzodiazepine compound fused to a dihydropyridine<span><span> fraction with different pharmacological properties. However, its potential toxic effects on blood cells have not yet been reported. Thus, the present study aimed to investigate, for the first time, the possible cytotoxicity of JM-20 through </span>cell viability<span><span>, cell cycle, morphology changes, reactive species (RS) to DCFH-DA, and lipid peroxidation in human leukocytes, its </span>hemolytic<span> effect on human erythrocytes, and its potential DNA </span></span></span></span>genotoxicity using plasmid DNA </span><em>in vitro</em><span>. Furthermore, the compound's ability to reduce the DPPH radical was also measured. Human blood was obtained from healthy volunteers (30 ± 10 years old), and the leukocytes or erythrocytes were immediately isolated and treated with different concentrations of JM-20. A cytoprotective effect was exhibited by 10 μM JM-20 against 1 mM tert-butyl hydroperoxide (t-but-OOH) in the leukocytes. However, the highest tested concentrations of the compound (20 and 50 μM) changed the morphology and caused a significant decrease in the cell viability of leukocytes (p &lt; 0.05, in comparison with Control). All tested concentrations of JM-20 also resulted in a significant increase in intracellular RS as measured by DCFH-DA in these cells (p &lt; 0.05, in comparison with Control). On the other hand, the results point out a potent antioxidant effect of JM-20, which was similar to the classical antioxidant α-tocopherol. The IC</span><sub>50</sub> value of JM-20 against the lipid peroxidation induced by (FeII) was 1.051 μM ± 0.21, while the IC<sub>50</sub> value of α-tocopherol in this parameter was 1.065 μM ± 0.34. Additionally, 50 and 100 μM JM-20 reduced the DPPH radical in a statistically similar way to the 100 μM α-tocopherol (p &lt; 0.05, in comparison with the control). No significant hemolysis in erythrocytes, no cell cycle changes in leukocytes, and no genotoxic effects in plasmid DNA were induced by JM-20 at any tested concentration. The <span><em>in silico</em></span><span> pharmacokinetic<span> and toxicological properties of JM-20, derivatives, and nifedipine were also studied. Here, our findings demonstrate that JM-20 and its putative metabolites exhibit similar characteristics to nifedipine, and the </span></span><em>in vitro</em> and <em>in silico</em> data support the low toxicity of JM-20 to mammals.</p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"106 ","pages":"Article 102827"},"PeriodicalIF":2.3,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139510183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regarding γ′ fibrinogen levels as a biomarker of COVID-19 respiratory disease severity 将γ′纤维蛋白原水平作为 COVID-19 呼吸系统疾病严重程度的生物标志物
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-17 DOI: 10.1016/j.bcmd.2024.102826
Sangsang Wang , Diao Yu , Junwu Zhang
{"title":"Regarding γ′ fibrinogen levels as a biomarker of COVID-19 respiratory disease severity","authors":"Sangsang Wang ,&nbsp;Diao Yu ,&nbsp;Junwu Zhang","doi":"10.1016/j.bcmd.2024.102826","DOIUrl":"10.1016/j.bcmd.2024.102826","url":null,"abstract":"","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"105 ","pages":"Article 102826"},"PeriodicalIF":2.3,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139499238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regarding γ′ fibrinogen levels as a biomarker of COVID-19 respiratory disease severity 将γ'纤维蛋白原水平作为 COVID-19 呼吸系统疾病严重程度的生物标志物。
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-12 DOI: 10.1016/j.bcmd.2024.102825
Lucy Z. Kornblith , Bindhya Sadhanandhan , Sreepriya Arun , Rebecca Long , Alicia J. Johnson , Jamie Noll , C.N. Ramchand , John K. Olynyk , David H. Farrell
{"title":"Regarding γ′ fibrinogen levels as a biomarker of COVID-19 respiratory disease severity","authors":"Lucy Z. Kornblith ,&nbsp;Bindhya Sadhanandhan ,&nbsp;Sreepriya Arun ,&nbsp;Rebecca Long ,&nbsp;Alicia J. Johnson ,&nbsp;Jamie Noll ,&nbsp;C.N. Ramchand ,&nbsp;John K. Olynyk ,&nbsp;David H. Farrell","doi":"10.1016/j.bcmd.2024.102825","DOIUrl":"10.1016/j.bcmd.2024.102825","url":null,"abstract":"","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"105 ","pages":"Article 102825"},"PeriodicalIF":2.3,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139566576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characterization of a cohort of Angolan children with sickle cell anemia treated with hydroxyurea 一组接受羟基脲治疗的安哥拉镰状细胞性贫血患儿的特征
IF 2.3 4区 医学
Blood Cells Molecules and Diseases Pub Date : 2024-01-04 DOI: 10.1016/j.bcmd.2023.102822
Brígida Santos , Catarina Ginete , Elisângela Gonçalves , Mariana Delgadinho , Armandina Miranda , Paula Faustino , Ana Paula Arez , Miguel Brito
{"title":"Characterization of a cohort of Angolan children with sickle cell anemia treated with hydroxyurea","authors":"Brígida Santos ,&nbsp;Catarina Ginete ,&nbsp;Elisângela Gonçalves ,&nbsp;Mariana Delgadinho ,&nbsp;Armandina Miranda ,&nbsp;Paula Faustino ,&nbsp;Ana Paula Arez ,&nbsp;Miguel Brito","doi":"10.1016/j.bcmd.2023.102822","DOIUrl":"10.1016/j.bcmd.2023.102822","url":null,"abstract":"<div><h3>Background</h3><p>Sickle Cell Anemia (SCA) is a monogenic disease, although its severity and response to treatment are very heterogeneous.</p></div><div><h3>Objectives</h3><p>This study aims to characterize a cohort of Angolan children with SCA and evaluate their response to hydroxyurea (HU) treatment and the potential side effects and toxicity.</p></div><div><h3>Methods</h3><p>The study enrolled 215 patients between 3 and 12 years old before and after the administration of HU, at a fix dose of 20 mg/kg/day for 12 months.</p></div><div><h3>Results</h3><p>A total of 157 patients started HU medication and 141 of them completed the 12-month treatment. After initiating HU treatment, the frequency of clinical events decreased (transfusions 53.4 %, hospitalizations 47.1 %). The response to HU medication varied among patients, with some experiencing an increase in fetal hemoglobin (HbF) of &lt;5 %. The mean increase in HbF was 11.9 %, ranging from 1.8 % to 31 %. Responders to HU treatment were 57 %, inadequate responders 38.7 % and non-adherent 4.2 %. No clinical side effects related to HU were reported. Hematological toxicities were transient and reversible. Children naïve to HU and with lower HbF reported higher number of hospitalizations caused by malaria infection. During HU treatment, the frequency of malaria episodes did not appear to be affected by HbF levels.</p></div><div><h3>Conclusions</h3><p>the present study provided a valuable contribution to the understanding of the clinical and laboratory profiles of Angolan children with SCA. These findings support the evidence that the implementation of prophylactic measures and treatment with HU is associated with increased survival in children with SCA.</p></div>","PeriodicalId":8972,"journal":{"name":"Blood Cells Molecules and Diseases","volume":"105 ","pages":"Article 102822"},"PeriodicalIF":2.3,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1079979623000992/pdfft?md5=6ac4fc1b23206523b69ea849bc5368bf&pid=1-s2.0-S1079979623000992-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139094036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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